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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853434/psn-pdfSeptember 13, 2023 - Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. September 13, 2023 Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus group interviews with older patients, their relatives, … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72599/psn-pdfDecember 23, 2020 - In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital. December 23, 2020 Kanaan AO, Sullivan KM, Seed SM, et al. In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866938/psn-pdfOctober 09, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design. October 9, 2024 Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence: From Passive Reception Towards Co-Design. Rockville, MD: Agency for Healthcare Research and Quality; … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37378/psn-pdfFebruary 24, 2011 - Medication discrepancies in resident sign-outs and their potential to harm. February 24, 2011 Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. https://psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45362/psn-pdfJanuary 23, 2017 - Capturing essential information to achieve safe interoperability. January 23, 2017 Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. https://psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability T… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42686/psn-pdfApril 16, 2019 - Improving the quality of health care: what's taking so long? April 16, 2019 Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809. https://psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long Almost a decade-and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45862/psn-pdfFebruary 08, 2017 - Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. February 8, 2017 Newcastle Upon Tyne, UK: Care Quality Commission; December 2016. CQC-356-122016. https://psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-rev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47911/psn-pdfApril 03, 2019 - Second victims need emotional support after adverse events: even in a just safety culture. April 3, 2019 Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events: even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.1111/1471-0528.15529. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48178/psn-pdfJanuary 01, 2020 - ACR guidance document on MR safe practices: updates and critical information 2019. August 14, 2019 ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 2020;51(2):331-338. https://psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-inform… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851362/psn-pdfJuly 12, 2023 - Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? July 12, 2023 Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73440/psn-pdfJune 30, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. June 30, 2021 Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent clinical course and outcomes. BMJ Qual … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42964/psn-pdfMay 10, 2014 - What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. May 10, 2014 Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45445/psn-pdfSeptember 27, 2016 - Using Kotter's change model for implementing bedside handoff: a quality improvement project. September 27, 2016 Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60844/psn-pdfAugust 26, 2020 - Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. August 26, 2020 Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fell… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60605/psn-pdfJune 17, 2020 - Optimizing Medication Management During the Covid-19 Pandemic: Implementation Guide for Post-acute and Long Term Care. June 17, 2020 Brandt N, Steinman MA. Optimizing Medication Management During the COVID?19 Pandemic: An Implementation Guide for Post?Acute and Long?Term Care. J American Geriatrics Society. 2020;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46999/psn-pdfJune 27, 2018 - Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. June 27, 2018 Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and- polsts Patient harm associated with adva… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865816/psn-pdfMay 08, 2024 - The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. May 8, 2024 Sama SR, Quinn MM, Gore RJ, et al. The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. J Appl Gerontol. 2024;43(11):1595-1604. doi:10.1177/07334648241246472. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47515/psn-pdfFebruary 25, 2019 - Blood sampling guidelines with focus on patient safety and identification—a review. February 25, 2019 Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification - a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042. https://psnet.ahrq.gov/issue/b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865927/psn-pdfMay 22, 2024 - Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. May 22, 2024 Jaakkola M, Lemmetty S, Collin K, et al. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. Learn Org. 2024;31(3):337-357. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45484/psn-pdfDecember 04, 2016 - High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. December 4, 2016 Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…
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